PROHEALTH PARTNERS A MEDICAL GROUP (NPI# 1265982359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265982359 |
| Entity Type | Organization |
| Organization Name | PROHEALTH PARTNERS A MEDICAL GROUP |
| Practice Address |
1040 Elm Ave Suite 100 Long Beach CA 90813-3264 |
| Mailing Address |
1040 Elm Ave Ste 100 Long Beach CA 90813-3265 |
| Practice Telephone | 5625914444 |
| Mailing Telephone | 5625914444 |
| Mailing Fax Number | 5624367350 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2018-04-30 |
| Authorized Official Name | BARRY S ALLSWANG (PRESIDENT) |
| Authorized Official Telephone | 5622995200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407711 | Prohealth Partners A Medical Group | Family Medicine | 3700 Katella Ave Ste D, Los Alamitos, CA 90720-6410 | 2020-11-06 |
| 1619584497 | Prohealth Partners A Medical Group | Surgery | 3628 E Imperial Hwy Ste 303, Lynwood, CA 90262-2646 | 2020-09-25 |
| 1336641992 | Prohealth Partners A Medical Group | Internal Medicine | 26700 Towne Centre Dr Ste 165, Foothill Ranch, CA 92610-2845 | 2018-02-28 |
| 1154862241 | Prohealth Partners A Medical Group | Surgery | 3791 Katella Ave Ste 107, Los Alamitos, CA 90720-2000 | 2017-03-09 |
| 1639614076 | Prohealth Partners A Medical Group | Internal Medicine | 23517 Main St Ste 108, Carson, CA 90745-5239 | 2016-12-20 |
| 1215481940 | Prohealth Partners A Medical Group | Obstetrics & Gynecology | 14150 Culver Dr Ste 206, Irvine, CA 92604-0323 | 2016-08-10 |
| 1609222942 | Prohealth Partners A Medical Group | Family Medicine | 3816 Woodruff Ave Ste 406, Long Beach, CA 90808-2146 | 2016-05-05 |
| 1881007524 | Prohealth Partners A Medical Group | Internal Medicine | 150 S Robertson Blvd, Suite 150, Beverly Hills, CA 90211-2171 | 2014-06-10 |
| 1841622016 | Prohealth Partners A Medical Group | Family Medicine | 23181 La Cadena Dr Ste 101, Laguna Hills, CA 92653-1479 | 2013-07-30 |
| 1033341680 | Prohealth Partners A Medical Group | Physician Assistant | 925 E San Antonio Dr Ste 18, Long Beach, CA 90807 | 2009-08-17 |
| Street Address |
1040 ELM AVE SUITE 100 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-3264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891770970 | Tanya De La Cerda | Physical Therapist | 1040 Elm Ave, Suite #100, Long Beach, CA 90813-3264 | 2005-12-12 |
| 1558812990 | United Medical Radiology Network, Inc. | Clinic/Center | 1040 Elm Ave, Suite 102, Long Beach, CA 90813-3264 | 2016-10-20 |
| 1780031211 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 1040 Elm Ave, Suite 102, Long Beach, CA 90813-3264 | 2016-05-13 |
| 1285028209 | Solomon Care M.d., Inc., A Professional Corporation | Nurse Practitioner | 1040 Elm Ave, Suite 304, Long Beach, CA 90813-3264 | 2015-03-27 |
| 1588056063 | Lena Kuang | Nurse Practitioner | 1040 Elm Ave, Long Beach, CA 90813-3264 | 2015-02-20 |
| 1811334071 | Nationwide Drug and Alcohol Counseling,inc. | Counselor | 1040 Elm Ave, 310, Long Beach, CA 90813-3264 | 2013-05-29 |
| 1063664514 | Faustino Bernadett Jr Md Inc A Professional Medical Corporation | Specialist | 1040 Elm Ave, 100, Long Beach, CA 90813-3264 | 2008-10-15 |
| 1073795498 | Long Beach Surgical Group A Medical Corporation | Specialist | 1040 Elm Ave, Suite #303, Long Beach, CA 90813-3264 | 2007-11-27 |
| 1467647511 | Lyman Kennedy Jr. | Physical Therapist | 1040 Elm Ave, Suite #100, Long Beach, CA 90813-3264 | 2007-09-12 |
| 1851507099 | Robert W Driscoll | Specialist | 1040 Elm Ave, Suite #100, Long Beach, CA 90813-3264 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033684 | First Care Multispecialty Medical Group, Inc. | Orthopaedic Surgery | 4401 Atlantic Ave Ste 480, Long Beach, CA 90807-2265 | 2020-08-10 |
| 1982220612 | Advanced Orthopaedic Surgeons At Long Beach, Inc | Orthopaedic Surgery | 1760 Termino Ave Ste 208, Long Beach, CA 90804-2151 | 2020-06-18 |
| 1629558713 | Long Beach-lakewood Orthopedic Institute | Orthopaedic Surgery | 3828 Schaufele Ave Ste 320, Long Beach, CA 90808 | 2018-08-17 |
| 1417257296 | Allied Medical Group, Inc. | Orthopaedic Surgery | 4237 Atlantic Ave, Long Beach, CA 90807 | 2010-10-27 |
| 1851512677 | Stephen P. Graham, M.d., Inc. | Orthopaedic Surgery | 1760 Termino Ave., Suite G-21, Long Beach, CA 90804 | 2007-05-01 |
| 1972625382 | Manuel S Anel | Orthopaedic Surgery | 3711 Long Beach Blvd Ste 806, Long Beach, CA 90807-3324 | 2007-04-04 |
| 1477579332 | Active Sports Medicine & Orthopaedic Surgery PC | Orthopaedic Surgery | 757 Lincoln Blvd, Long Beach, NY 11561-2355 | 2006-07-14 |
| 1427086321 | Alexander Thomas Latteri | Orthopaedic Surgery | 3939 Atlantic Avenue, Suite #204, Long Beach, CA 90807-3535 | 2006-06-29 |
| 1528032562 | Alex H. Etemad | Orthopaedic Surgery | 5584 N Paramount Blvd, Suite 100, Long Beach, CA 90805-5133 | 2006-02-15 |
| 1114927860 | Long Beach Advanced Orthopedic Medical Center Inc | Orthopaedic Surgery | 1760 Termino Ave, 208, Long Beach, CA 90804-2105 | 2005-07-22 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.